Prevention and Treatment of Pain in Children: Toward a Paradigm Shift

Stefan J. Friedrichsdorf, James D Sidman, Elliot J. Krane

Research output: Contribution to journalShort surveypeer-review

9 Scopus citations


Rosenfeld et al in their recent article "Office Insertion of Tympanostomy Tubes without Anesthesia in Young Children" describe using a "papoose board for restraint" while performing a procedure resulting in severe pain for a significant number of children: a myringotomy and tube insertion. In 2016, it is inappropriate to perform elective painful procedures in children without treatment to avoid or minimize pain. We strongly disagree with the authors' conclusion "that office insertion of tubes in young children is a feasible alternative to general anesthesia for caregivers and clinicians who are comfortable with this choice."

Original languageEnglish (US)
Pages (from-to)804-805
Number of pages2
JournalOtolaryngology - Head and Neck Surgery (United States)
Issue number5
StatePublished - May 2016

Bibliographical note

Publisher Copyright:
© American Academy of Otolaryngology-Head and Neck Surgery Foundation 2016.


  • analgesia
  • myringotomy
  • pain
  • papoose board
  • pediatric
  • restraint
  • tympanostomy


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